174983 (RPL)DEPARTMENT OF BUILDING & SAFETY
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
9
COUNTY OF RIVERSIDE
0
FIELD OFFICE 7
APPLIANCE
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1st FI.
2nd FI.
Par.
Gar.
Car P.
Wall
I
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Sq. Ft. @
NO.
PLAN CHECK FEE $
NO.
Sq. Ft. @
SUB -PANEL
Sq. Ft. @
CHECKED BY
� F)( (
Sq. Ft. @ POLES
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Sq. Ft. @ SIGNS
DRAINAGE PIPING
TRANS. AND/
Sq. Ft. @ OR T. CLK.
DRINKING FOUNTAIN
Sq. Ft. @ MOTOR H. P.
URINAL
MOTOR H. P.
WATER PIPING
ESTIMATED VALUATION Is
MOTOR
H. P.
FLOOR DRAIN
-7- ,o -..#
MECHANICAL FEES
MOTOR
H.P.
WATER'SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MOTOR H. P.
WASHER (AUTO( (DISH)
LOT SIZE
USE #
APPLIANCE
FIXTURES
GARBAGE DISPOSAL
R
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OUTLETS
LAUNDRY TRAY
PLAN CHECK FEE $
f
i J
AIR HANDLING UNIT
SUB -PANEL
KITCHEN SINK
CHECKED BY
� F)( (
IV
^I
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
F.C.
WATER CLOSET
VAU AYION` '
C
OFFICE
COMPRESSOR �HP
RANGE AND/OR OVEN
LAVATORY
PERMIT
APPLIANCE VENT
WATER HEATER
SHOWER
-7- ,o -..#
174983
ABSORPTION SYSTEM D B.T.U. j
j PACE HEATER
BATH TUB
SPEC. INSP.
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
CONSTRUCTION POLE
WATER HEATER
l
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SERVICE ENTRANCE
SEWAGE DISPOSAL
B 6
CASH
BOILER D B.T.U.
RESID. 1Q SO. FT.
HOUSE SEWER
PLUMBING FEE $
PERMIT FEE
GARAGE 1C SO. FT.
GAS PIPING
j
PERMIT FEE
PERMIT FEE
0
PERMIT NUMBER �. REN. DBL. TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST. FEE ELEC. FEE IPLUMB, FEE
J
J F M `�— 0 a M J J A S O N _ D
I J F IM le IM le
SET BACK
LOT SIZE
USE #
JOB ADDRESS / OWNER
ALDING
F
5
R
ZONE
URS . - �• `'- ! f
DATE
PLAN CHECK FEE $
f
i J
�,� J �
,MUNITY
MECHANICAL FEE $
CHECKED BY
� F)( (
IV
^I
'DISfRI-Cf
1-77
F.C.
N
VAU AYION` '
C
OFFICE
GROUP TYPE
LE GA L'�]] SCR IPT I ON
PERMIT
NUMBER
CONSTRUCTION FEE $
-7- ,o -..#
174983
SPEC. INSP.
SUPP. TO PERMIT
ELECTRICAL FEE $
PLAN CHECKER
BOND
B 6
CASH
PLAN F LE #
FINAL DATE
INSPECTOR
PLUMBING FEE $
j
TOTAL FEES
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
�.-��
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
CASH CHECK M.O. N.C.
RECEIVED BY
SEWAGE SYSTEM
T
LL
P
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON -
NAME OF CONSTRUCTION LENDER
TRACTORS IS ALSO GUARANTEED.- , r
OWNER
CON TR 'C. o -R., J f Ir
BRANCH OFFICE
l
ADDRESS
A ;DRESS_ADDR
55''
CITY STATE
_
'
2.2 T' - r�
NO LENDER INVOLVED 6.
INFORMATION
-
/
TEL. NO'. ` '
TEL. NO.
s
�{fj
- - - r •
fICE NO a ��
284-208 12/88 �y �r� �j